| Tega Cay Chiropractic - Sports Injury Clinic Inc | |
|
101 Stone Village Drive, Fort Mill, SC 29708 | |
| (803) 802-5322 | |
| (803) 802-5665 |
| Full Name | Tega Cay Chiropractic - Sports Injury Clinic Inc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 101 Stone Village Drive, Fort Mill, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871511766 | NPI | - | NPPES |
| CH1916 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 1915 (North Carolina) | Secondary |
| 111N00000X | Chiropractor | 2295 (South Carolina) | Primary |
| Provider Name | Randall J Conger |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1649471046 PECOS PAC ID: 1153342761 Enrollment ID: I20051212000207 |
| Mailing Address | Practice Location Address |
|---|---|
| Tega Cay Chiropractic - Sports Injury Clinic Inc 101 Stone Village Drive, Fort Mill, SC 29708 Ph: (803) 802-5322 | Tega Cay Chiropractic - Sports Injury Clinic Inc 101 Stone Village Drive, Fort Mill, SC 29708 Ph: (803) 802-5322 |
Dr. Theresa Lobbestael, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 985 Market St Ste 201, Fort Mill, SC 29708 Phone: 803-547-9800 Fax: 803-547-9804 | |
Dr. Jonathan Cory Broyles, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 9945 Charlotte Hwy, Fort Mill, SC 29707 Phone: 803-802-8601 Fax: 803-802-7969 | |
Dr. Curtis Criswell, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 936 Market St # 205-2, Fort Mill, SC 29708 Phone: 513-255-6863 | |
Dr. Craig M. Leis, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 10384 Tintinhull Dr, Fort Mill, SC 29707 Phone: 704-502-7897 Fax: 704-327-0793 | |
Dr. Angenique Gloriann Jackson, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1171 Market St Ste 112, Fort Mill, SC 29708 Phone: 803-802-7799 | |
New Life Disc Spine & Joint Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 10384 Tintinhull Dr, Fort Mill, SC 29707 Phone: 704-502-7897 Fax: 704-327-0793 | |
Marc E Mccartney, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2752 Pleasant Rd, Suite 104, Fort Mill, SC 29708 Phone: 803-802-3737 Fax: 803-802-3747 |